Cook Hospital
Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Cook, MN
NPI 1720036262 · NPPES record last updated Feb 27, 2019
Key facts
- NPI
- 1720036262
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medicare Defined Swing Bed Hospital Unit 275N00000X
- License
- 331536 (MN)
- Legal business name
- COOK HOSPITAL
- Practice address
- 10 5TH St SE
Cook, MN 55723-9702 - Phone
- (218) 666-5945
- Fax
- (218) 666-6228
- NPI assigned
- May 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Teresa Lynn Debevec
- Title
- Administrator
- Phone
- (218) 666-5945
Owners & managing parties with NPI records 3
Owned or controlled facilities with NPI records 2
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 3
Related certifications (CCN) 1
Facilities with the same owner 2
Affiliated clinicians 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Hospital certification: CCN 24Z312
- Legal name
- COOK HOSPITAL
- Organization structure
- Government · Non-profit
- Incorporated
- Feb 1, 2001 in MN
- Enrollment address
- 10 5TH St SE
Cook, MN 55723-9702
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| Michael Enzmann |
Corporate Director | Oct 8, 2010 | |
| Kathy Weiand |
Corporate Director | Feb 1, 2012 | |
| Teresa Debevec |
W-2 Managing Employee |
Oct 1, 2007 | |
| Jodell Driggs |
Corporate Director | Jan 2, 2025 | |
| John Carl Stegmeir |
Corporate Director | May 1, 2015 | |
| Heather Ann Brandon |
Corporate Director | Sep 23, 2025 | |
| Wendy S Long |
Corporate Director | Oct 8, 2010 | |
| Cook Hospital |
Operational/Managerial Control | Oct 8, 2010 | |
| Lisa Tosel |
Corporate Director | Jan 1, 2026 | |
| Donald Potter |
Corporate Director | Oct 8, 2010 | |
| Theresa Martinson |
Corporate Director | Feb 1, 2023 | |
| Judith Pearson |
Corporate Director | Oct 8, 2010 | |
| Karis Renee Antikainen |
Corporate Director | Jan 2, 2025 | |
| Margie Hyppa |
Corporate Director | Oct 8, 2010 | |
| Denise Parson |
Corporate Director | Jan 1, 2021 | |
| Elizabeth R Dahl |
Corporate Director | Jul 1, 2014 | |
| Eric Pederson |
Corporate Director | Oct 1, 2012 |
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Cook Hospital |
Hospital | Operational/Managerial Control | Aug 25, 2010 |
| Cook Hospital & Care Center |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2024 Feb 20, 2026 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101201001262 | MN | Part a Provider - Critical Access Hospital | 6204022304 | Practice locations: Cook, MN |
National Provider Directory
- Tax ID family
- Cook Hospital Pharmacy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 331536 | MN | Yes |
Addresses
Primary practice location
10 5TH St SE
Cook, MN 55723-9702
Mailing address
10 5TH St SE
Cook, MN 55723-9702
Phone (218) 666-5945
Other providers in Cook, MN
- Cook Area Health Services, Inc
- Cook Area Health Services, Inc
- Cook Area Health Services, Inc
- Cook Carefree Living
- Cook Chiropractic Center LTD.
- Cook Hospital
- Cook Hospital
- Cook Hospital Pharmacy
- Kaycee Mae Danielson
- Brittany Ann Debeltz
All providers in Cook, MN · Medicare Defined Swing Bed Hospital Unit in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.